Karanikas I, Liakakos T, Koundourakis S, Papadopoulos A, Garsallah M, Dendrinos S
2nd Surgical Department, General Hospital of Athens, Greece.
Acta Chir Belg. 1993 Jul-Aug;93(4):177-80.
During a 21-year period (1970-1991), 7 patients with primary retroperitoneal liposarcomas were treated surgically in our department. All the tumours were excised completely, and in 2 patients an additional nephrectomy was performed. Postoperatively 4 patients had adjuvant radiotherapy. Two other patients received adjuvant chemotherapy. Both of them had to be reoperated, because of a local recurrence 12 and 9 months after their first operation. There was one death on the first postoperative day, and 4 patients died 1 1/2-2 years after the initial operation. Two patients are still alive 34 and 22 months after their first operation with recurrent disease. Adjuvant therapy proved to be ineffective on the survival of our patients. The prognosis of retroperitoneal liposarcomas continues to be poor and the primary treatment has to be aggressive with complete resection of the tumor.
在1970年至1991年的21年期间，我科对7例原发性腹膜后脂肪肉瘤患者进行了手术治疗。所有肿瘤均被完整切除，2例患者还进行了肾切除术。术后4例患者接受了辅助放疗。另外2例患者接受了辅助化疗。他们两人均因首次手术后12个月和9个月出现局部复发而不得不再次手术。术后第一天有1例死亡，4例患者在初次手术后1.5至2年死亡。2例患者在首次手术后34个月和22个月仍存活，但有复发性疾病。辅助治疗对我们患者的生存无明显效果。腹膜后脂肪肉瘤的预后仍然很差，主要治疗方法必须积极，完整切除肿瘤。
